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Updated: Feb 13, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Cancer-associated ischemic stroke: A retrospective multicentre cohort study
Stefano Grazioli1, Maurizio Paciaroni2, Giancarlo Agnelli2
1Internal Medicine, Ospedale S.Antonio Abate, ASST Valle Olona, Gallarate, Italy.
Active cancer in ischemic stroke patients is linked to older age, venous thromboembolism, low LDL cholesterol, and cryptogenic stroke. These factors may indicate hypercoagulability as a cause for cancer-associated stroke.
Area of Science:
- Neurology
- Oncology
- Epidemiology
Background:
- The link between stroke and cancer requires further investigation.
- This study estimates the prevalence and outcomes of cancer-associated ischemic stroke.
Purpose of the Study:
- To estimate the prevalence of cancer-associated ischemic stroke.
- To describe clinical outcomes in these patients.
- To identify factors associated with active cancer.
Main Methods:
- Retrospective cohort study of adult ischemic stroke patients from two Italian hospitals (2005-2015).
- Collected clinical and laboratory data.
- Used multivariate logistic regression to find factors associated with active cancer.
Main Results:
- 4.4% of 2209 ischemic stroke patients had active cancer.
- Active cancer was associated with age >65, venous thromboembolism (VTE), low LDL cholesterol (<70 mg/dL), and cryptogenic stroke.
- Mortality was higher in cancer patients (21.5% vs. 10%).
Conclusions:
- Older age, VTE, low LDL, and cryptogenic stroke are independent predictors of active cancer in stroke patients.
- Findings suggest hypercoagulability may play a role in cancer-associated ischemic stroke.
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